Day Shift - Customer Service Representative - National Remote

You?ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their... best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
This is a challenging role with serious impact. You?ll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It?s a fast-paced environment that takes focus, intensity, and resilience.
This position is Monday - Friday. Employees are required to have flexibility to work any of our 12-hour shift schedules during our normal business hours of 7:00am to 7:00pm. It may be necessary, given the business need, to work occasional overtime.
This will be on the job training and the hours during training will be 8:00am - 5:00pm , Monday ? Friday.

All Telecommuters will be required to adhere to UnitedHealth Group?s Telecommuter Policy.

Primary Responsibilities:

Answers inbound phone calls daily while providing a high-quality patient/caller experience
Schedules, reschedules and cancels appointments
Registers new patients, verifies patient demographics and health insurance, updates patient information in designated databases
Responds to general information requests and/or inquiries from patients, physicians, medical offices and other callers
Communicates effectively and in a professional manner
Transfers non-applicable calls to appropriate internal departments to ensure patient satisfaction
Processes all work related responsibilities in an efficient, timely and accurate manner
Consistently develops and maintains a working knowledge of all medical specialties as they relate to the position
Accurately transmits detailed written communications in a clear and concise manner to site staff and physicians via our medical communication platforms
Adheres to system guidelines, policies and procedures while meeting the needs of all callers encountered throughout the workday
Displays proficiency in the technological areas required to perform daily primary responsibilities
Performs additional general responsibilities as assigned or required

Basic Call Handling

Will always answer with the appropriate greeting on the first ring unless on another call.
Speaks in a confident, friendly, pleasant tone, with good diction and clear enunciation, displays a ?smile? in their voice, thus projecting a positive image
Displays an appropriate and professional attitude. Follows the Bassett Healthcare Network and Contact Center Telephone courtesy standards. Values others opinions even though they may be different from their own
Practices active listening and uses appropriate fact-finding questions, refrains from blind transfer of calls
Will always follow established written and electronic protocols
Takes control of call using solid customer service skills; refrains from ?overtalk? and giving advice.
Will utilize all tools available to process calls, including but not limited to directory, I-series, protocols, point people, help phone, Epic decision trees, Contact Center management
Will follow all service-specific and online protocols, as well as specials and Client Information pages.
Processes calls after normal business hours, holidays, meetings, lunch coverage, etc. for Cooperstown campus, clinics, specialty care providers, and several regional sites
Accesses Epic to verity appointments for patients; all patient demographics will be verified and updated accordingly in the Epic system
Will process appointment scheduling calls in a professional manner
Department-specific protocols will be adhered to for each type of call
Insurance coverage and co-pay are verified and updated in Epic using the real-time eligibility feature
Appropriate guarantor account created in the instance of a new BMH patient
Processes Open Referrals according to protocol
Processes Cyclical, Linked, or Coordinated appointments according to protocol
Will take complete, accurate and understandable message for each call with emphasis on correct spelling
Message add to be made when needed; message is to be expanded and distributed per protocol.
Will set repeats and message adds when necessary
Prescription refill requests are processed according to protocol. Emphasis is placed on accuracy and correct spelling; abbreviations are not used
Always maintain patient confidentiality

Quantitative Measures

Meets or exceeds the Contact Center performance standards for the following call handling quantitative measures:

On-time: 90% or higher
Time to Answer: 90% or higher on first ring
Disconnect Time: 24 seconds on average

Emergency Call Handling - (Codes and Team Activations) - Communication Center Specific

Will process all code calls and team activations according to the appropriate protocol
Will follow protocol for all Overhead Announcements
Will complete all pertinent information and take complete and accurate message tickets per protocol.
Will activate any pagers listed in the protocol or contact appropriate personnel via other methods as dictated in protocol
Will make any necessary overhead announcements per protocol
Will process an ?All Clear? when notified appropriately
Will contact a member of Contact Center management with any issue or concern on any code or team activation
Will contact 911 and other emergency authorities according to protocol
Will process nurse triage and secretarial calls in a professional manner

Monitoring Facility Alarm Systems - Communication Center Specific

Will monitor and respond to all Facility Alarms, including but not limited to:
Alarm Panel, Scanner, Security Radio, Baby Alarm, Weather Radio, Temperature Monitoring System, Strongline (Employee Assistance), Call Boxes
Will document appropriately (i.e., account 59 or 69)
Will process according to protocols

Electronic Medical Record - Communication Center Specific

Will utilize Epic view access to obtain minimum information needed to accurately complete the job
Will act as initial ?Help Desk? for MyBassett Health Connection to assist callers with issues or concerns on their MyBassett Health Connection accounts
Will activate MyBassett Health Connection accounts for patients

Department Specific Tasks

Solid understanding of the Amtelco call handling system; will contact a member of Contact Center management with any issue or concern
Processes additional calls (i.e., Pre-registration calls, logistics, etc.) as designated by a supervisor.
Attends assigned Contact Center daily huddle meetings
Performs other duties as requested and observed by supervisor or manager

Status changes for pagers are documented in account 2525 and processed accurately in a timely manner. Contact Center on call will be notified of any issue or concern. ? Communication Center Specific On Call changes are documented in account 55 and processed in a timely manner; Contact Center on call will be notified of any issue or concern. ? Communication Center Specific You?ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

High school diploma/ GED
1+ years Experience in customer service, communications or call center environment
Must be 18 years of Age OR older
Basic computer skills
Familiarity with Microsoft Office Applications (Outlook, Word, Excel)
Ability to work any of our 12-hour shift schedules during our normal business hours of 7:00am to 7:00pm. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

Ability to Type minimum of 50 words per minute

Telecommuting Requirements:

Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

Ability to listen and assimilate new information rapidly
Collaborates with Contact Center team and consistently performs all duties at the highest-level during crisis, whether individually or as a team
Technical skills would be valuable
Demonstrates strong oral and written communication skills
Possess excellent interpersonal and ?system thinking? skills
Strong communication and customer service skills.
Exceptional organizational/time management skills.
Ability to work in a dynamic environment both independently and in a group setting

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 - $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you?ll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone?of every race, gender, sexuality, age, location, and income?deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes ? an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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